Individual provider Active NPI

Taylor Parker

  • Professional Counselor
  • Longview, TX
National Provider Identifier
1669138772
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
911 Northwest Loop 281 Suite 312
Longview, TX 75604
Phone
(469) 334-3615
Fax
(469) 361-8241
NPI assigned
Nov 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

911 Northwest Loop 281 Suite 312
Longview, TX 75604

Mailing address

414 Lura St
Longview, TX 75603-9322
Phone (469) 334-3615

Other identifiers 1

IdentifierTypeStateIssuer
82672OtherTXTX LICNESE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117001420 TX Practitioner - Mental Health Counselor 4688026446 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Therapy & Assessment Services PLLC Professional CurrentSince Mar 17, 2025 Accepting new patients
Counseling Services, PLLC Professional PastSince Aug 19, 2025 Accepting new patients
Kranz Psychological Services, PLLC Professional PastSince Nov 1, 2021 Accepting new patients

Locations

2401 Judson Rd
Ste 102
Longview, TX 75605
Phone (469) 334-3615

911 W Loop 281
Ste 312
Longview, TX 75604
Phone (469) 334-3615

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1669138772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 LURA ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756039322",
            "telephone_number": "469-334-3615",
            "fax_number": "469-361-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 NORTHWEST LOOP 281 SUITE 312",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75604",
            "telephone_number": "469-334-3615",
            "fax_number": "469-361-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICNESE",
            "identifier": "82672",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.